YAD OT PT PLLC NPI 1174927677

NPI Information

YAD OT PT PLLC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. YAD OT PT PLLC NPI is 1174927677. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1716 CONEY ISLAND AVE
BROOKLYN, NY
ZIP 11230-801
Phone: (718) 336-4900

The provider's authorized official is David J Ettinger .
The authorized official title is Managing Member and has the following contact phone number (718) 336-4900.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 1/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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